scholarly journals The effects on self-efficacy, motivation and perceived barriers of an intervention targeting physical activity and sedentary behaviours in office workers: a cluster randomized control trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Victoria Blom ◽  
Emma Drake ◽  
Lena V. Kallings ◽  
Maria M. Ekblom ◽  
Carla F. J. Nooijen
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Self Efficacy ◽  
Autonomous Motivation ◽  
Perceived Barriers ◽  
Control Group ◽  
Cluster Randomized Control Trial ◽  
Randomized Control ◽  
Cluster Randomized ◽  
Motivational Counselling

Abstract Background The importance of physical activity on health is clear, but changing behaviour is difficult. Successful interventions aiming to improve physical activity and reduce sedentary behaviour is therefore of importance. The aim of this study was to evaluate effects on motivation, self-efficacy and barriers to change behaviour from two different behavioural intervention focusing either on reducing sedentary behaviour or on increasing physical activity as compared to a waiting list control group. Methods The study was designed as a cluster randomized control trial (RCT) within two private companies. Self-efficacy, motivation and perceived barriers were together with demographic variables assessed before and after a 6-month intervention. Participant cluster teams were randomly allocated to either the physical activity intervention (iPA), the sedentary behaviour intervention (iSED), or control group. The intervention was multi componential and included motivational counselling based on Cognitive behaviour therapy and Motivational interviewing, group activities and management involvement. Group differences were determined using Bayesian multilevel modelling (parameter estimate; credible interval (CI)), analysing complete cases and those who adhered to the protocol by adhering to at least 3 out of 5 intervention sessions. Results After the intervention, the complete cases analysis showed that the iPA group had significantly higher autonomous motivation (0.33, CI: 0.05–0.61) and controlled motivation (0.27, CI: 0.04–0.51) for physical activity compared with the control group. The iSED group scored less autonomous and controlled motivation compared to the iPA group (0.38, CI: − 0.69- -0.087 respectively − 0.32, CI: − 0.57-0.07) but no significant differences compared with the control group. Among individuals that adhered to the protocol, the results showed higher scores on Exercise (3.03, CI: 0.28–6.02) and Sedentary self-efficacy (3.59, CI: 0.35–7.15) for individuals in the iPA group and on Sedentary self-efficacy (4.77, CI: 0.59–9.44) for the iSED group compared to the control group. Conclusion These findings indicate that the interventions were successful in increasing self-efficacy in each intervention group and autonomous motivation for exercise in the iPA group, in particular when actively participating in the motivational counselling sessions.

scholarly journals The effects on self-efficacy, motivation and perceived barriers of an intervention targeting physical activity and sedentary behaviours in office workers: A cluster randomized control trial

2021 ◽  
Author(s):  
Victoria Blom ◽  
Emma Drake ◽  
Lena V. Kallings ◽  
Maria M. Ekblom ◽  
Carla F. J. Nooijen
Keyword(s):  
Physical Activity ◽  
Sedentary Behaviour ◽  
Self Efficacy ◽  
Autonomous Motivation ◽  
Perceived Barriers ◽  
Control Group ◽  
Controlled Motivation ◽  
Cluster Randomized Control Trial ◽  
Randomized Control ◽  
Cluster Randomized

Abstract Background The importance of physical activity on health is clear, but changing behaviour is difficult. Successful interventions aiming to improve physical activity and reduce sedentary behaviour is therefore of importance. The aim of this study was to evaluate effects on motivation, self-efficacy and barriers to change behaviour from two different behavioral intervention focusing either on reducing sedentary behaviour or on increasing physical activity as compared to a waiting list control group Methods The study was designed as a cluster randomized control trial (RCT) within two private companies. Self-efficacy, motivation and perceived barriers were together with demographic variables assessed before and after a 6-month intervention. Participants were assigned a cluster team which was randomly allocated to either the physical activity intervention (iPA), the sedentary behaviour intervention (iSED), or control group. Group differences were determined using Bayesian multilevel modelling (parameter estimate; credible interval (CI)), analysing complete cases and those who adhered to the protocol by adhering to at least 3 out of 5 intervention sessions. Results After the intervention, the complete cases analysis showed that the iPA group had significantly higher autonomous motivation (0.33, CI: 0.05–0.61) and controlled motivation (0.27, CI: 0.04–0.51) for physical activity compared with the control group, and the iSED group scored less autonomous and controlled motivation compared to the iPA group (0.38, CI: -0.69- -0.087 respectively − 0.32, CI: -0.57-0.07). Among individuals that adhered to the protocol, the results showed higher scores on Exercise (3.03, CI: 0.28–6.02) and Sedentary self-efficacy (3.59, CI: 0.35–7.15) for individuals in the iPA group and on Sedentary self-efficacy (4.77, CI: 0.59–9.44) for the iSED group compared to the control group. Conclusion These findings indicate that the interventions were successful in increasing self-efficacy in each intervention group and autonomous motivation for exercise in the iPA group, in particular when actively participating in the motivational counselling sessions.

scholarly journals Comparing the effect of group- based training along with text messaging and compact disc- based training on men’s knowledge and attitude about participation in perinatal care: a cluster randomized control trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Vahideh Firouzan ◽  
Mahnaz Noroozi ◽  
Mojgan Mirghafourvand ◽  
Ziba Farajzadegan
Keyword(s):  
Text Messaging ◽  
Perinatal Care ◽  
Control Group ◽  
Cluster Randomized Control Trial ◽  
The Mean ◽  
Randomized Control ◽  
Knowledge And Attitude ◽  
Cluster Randomized ◽  
And Control ◽  
Men’S Knowledge

Abstract Background Men’s participation in perinatal care is one of the key factors in promoting maternal and neonatal health. The effects of various methods of training on men’s knowledge and attitude about participation in perinatal care can be different. So, this study aimed to compare the effect of two methods of training on men’s knowledge and attitude about participation in perinatal care. Methods This cluster randomized control trial was conducted in three midwifery clinics in Tabriz, Iran between May and August 2018. Each clinic was randomly assigned to intervention (group- based training along with text messaging and CD- based training) and control groups. Seventy-five men were enrolled in three groups and evaluated for their knowledge and attitude about participation in perinatal care. Before and 3 months after the intervention, a researcher-made questionnaire was completed by the participants. Data were analyzed using descriptive and inferential statistics (paired t-test, one-way ANOVA, ANCOVA, chi-square, Kruskal-Wallis and Fisher exact tests). Results The mean (SD) score of men, s knowledge and attitude about participation in perinatal care had a significant increase in group- based training along with text messaging after the intervention compared to the score of before the intervention (p < 0.001, p = 0.005, respectively), but the mean (SD) score of men, s knowledge and attitude had not a significant increase in CD- based training and control group after the intervention compared to the score of before the intervention. The mean (SD) score of men,s knowledge and attitude about participation in perinatal care in group- based training along with text messaging were significantly higher than in CD- based training (p < 0.001, p = 0.039, respectively) and control group (p = 0.001, p = 0.021, respectively) after the intervention, respectively. However, the mean (SD) score of men, s knowledge and attitude in CD- based training were not significantly different from the control group after the intervention. Conclusion Group- based training along with text messaging was more effective in improving the knowledge and attitude of men about participation in perinatal care compared to CD- based training. So, its implication in educational programs for the men is recommended. Trial registration IRCT, IRCT20160224026756N4. Registered 27 May 2018.

Effect of an Inside–Outside School Alternated Teaching Unit of Knowledge of the Environment for Practicing Physical Activity: A Cluster Randomized Control Trial

2021 ◽  
pp. 1-10
Author(s):  
Carolina Casado-Robles ◽  
Jesús Viciana ◽  
Santiago Guijarro-Romero ◽  
Daniel Mayorga-Vega
Keyword(s):  
Physical Activity ◽  
Autonomy Support ◽  
Autonomous Motivation ◽  
Traditional Group ◽  
Physically Active ◽  
Cluster Randomized Control Trial ◽  
Teaching Unit ◽  
Group A ◽  
Cluster Randomized ◽  
Objectively Measured

Purpose: To examine the effect of two physical education–based alternated teaching units on students’ environmental knowledge for practicing out-of-school physical activity (PA), perceived autonomy support, self-determined and controlled motivation toward PA, intention to be physically active, self-reported and objective PA levels, and sedentary behavior. Method: A sample of 179 students (94 females) aged 13–15 years old was cluster randomly assigned to the innovative group (two alternated teaching units for practicing PA, with one lesson inside and one outside the school grounds) or the traditional group (a teaching unit for practicing PA, solely inside the school center). Results: The alternated teaching units improved students’ knowledge of their environment for practicing PA, perceived autonomy, autonomous motivation, intention to be physically active, and self-reported PA during the whole week (p < .05). Discussion/Conclusion: The innovative program improved students’ knowledge about their environment for practicing PA and self-reported PA but did not improve objectively measured PA levels.

scholarly journals Physical activity levels in 10- to 11-year-olds: clustering of psychosocial correlates

2005 ◽  
Vol 8 (7) ◽  
pp. 896-903 ◽  
Author(s):  
Greet Cardon ◽  
Renaat Philippaerts ◽  
Johan Lefevre ◽  
Lynn Matton ◽  
Katrien Wijndaele ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Sedentary Behaviour ◽  
Self Efficacy ◽  
Cross Sectional Study ◽  
Perceived Barriers ◽  
Activity Levels ◽  
Cross Sectional ◽  
Psychosocial Correlates ◽  
Physical Activity Levels

AbstractObjectivesTo evaluate gender differences for levels of physical activity, for sedentary behaviour and for psychosocial correlates in children, to evaluate whether psychosocial correlates cluster in meaningful ways and to examine whether physical activity and sedentary behaviour differ between children of clusters, differentiated by the level of perceived barriers and benefits, attitudes, social support and self-efficacy.DesignCross-sectional study using the Flemish Physical Activity Questionnaire.SettingQuestionnaires to be filled out by the children and one of their parents, contacted through the school system.SubjectsA sample of 1124 10- to 11-year-olds (579 boys and 545 girls).ResultsGirls were found to be less active than boys, with boys scoring better for social support, perceived benefits and self-efficacy compared with girls. The way of clustering differed between boys and girls. Boys were allocated to three clusters: one cluster with positive correlates towards physical activity, labelled ‘positives’; one with negative correlates, labelled ‘negatives’; and one characterised mainly by high perceived barriers, labelled ‘hindered’;. In both genders the highest levels of physical activity were found in the ‘positives’;, the lowest in the ‘negatives’;. In girls a fourth cluster was identified, characterised mainly by low perceived barriers and low social support. Physical activity levels in the girls of this cluster, labelled ‘indifferents’;, were the second highest.ConclusionsMore research is needed to further characterise these clusters. To prevent the physical activity decline during the transition from childhood to adulthood, novel interventions need to be explored that focus on children of the clusters with the most negative correlates.

The Effectiveness of School Dental Screening: a Cluster-randomized Control Trial

2006 ◽  
Vol 85 (10) ◽  
pp. 924-928 ◽  
Author(s):  
K. Milsom ◽  
A. Blinkhorn ◽  
H. Worthington ◽  
A. Threlfall ◽  
K. Buchanan ◽  
...  
Keyword(s):  
Randomized Control Trial ◽  
Controlled Trial ◽  
Population Level ◽  
Control Group ◽  
Randomized Controlled ◽  
Cluster Randomized Control Trial ◽  
Caries Increment ◽  
Dental Screening ◽  
Randomized Control ◽  
Cluster Randomized

Dental screening of children in schools is undertaken in many countries. There is no evidence that this activity is effective. The objective of our study was to determine if school dental screening of children reduces untreated disease or improves attendance at the population level. A four-arm cluster-randomized controlled trial was undertaken in the northwest of England. In total, 16,864 children aged 6–9 years in 168 schools were randomly allocated to 3 test groups, which received screening according to different models, and a control, which received no intervention. There were no significant differences in caries increment in the primary and secondary dentitions or in the proportions of children attending a dentist after screening between the control group and the 3 intervention arms. School dental screening delivered according to 3 different models was not effective at reducing levels of active caries and increasing attendance in the population under study.

Effects of nutrition education and counseling intervention on maternal weight and obstetric outcomes among pregnant women of Gedeo Zone, Southern, Ethiopia: A cluster randomized control trial

2021 ◽  
pp. 026010602110567
Author(s):  
Gizaw Sisay ◽  
Adane Tesfaye
Keyword(s):  
Pregnant Women ◽  
Nutrition Education ◽  
Randomized Control Trial ◽  
Intervention Group ◽  
Southern Ethiopia ◽  
Control Group ◽  
Counseling Intervention ◽  
Cluster Randomized Control Trial ◽  
Randomized Control ◽  
Cluster Randomized

Background: Due to the scarcity of intervention trials, especially in Ethiopia, the effect of nutrition education and counseling intervention on pregnancy outcomes is not well studied. Aim: To assess the effect of nutrition education and counseling on the outcomes of pregnancy among pregnant mothers in public health care institutions of Gedeo Zone, Southern, Ethiopia. Methods: A cluster randomized control trial study design was undertaken. Simple random sampling followed by cluster sampling was used to reach eligible study participants. A total sample of 235 (115 intervention vs.120 control group) pregnant women who followed anti-natal care service in public health facilities of Gedeo Zone was included in the study. Independent t-test was used to analyze the group difference for continuous variable and chi-square test for categorical variables. The post-intervention values between the two groups were compared using analysis of covariance by adjusting to baseline variable. Results: After nutrition education, pregnant women in the control group had less weight gain than in the intervention. The proportion of LBW neonate was 17.8% in the intervention group and 38.2% in the control group ( P < 0.001). Multivariable logistic regression analysis showed that the risk of LBW in the control group was 2.43 more likely than in the intervention group (AOR = 2.43; 95% CI: (1.2, 4.92)). Conclusion: Nutrition education delivered to pregnant women during pregnancy could reduce maternal malnutrition and low birth weight. Recommendation: The intervention is easy to implement in the health facilities of Gedeo zone and would be implemented without delay to achieve the sustainable development goals.

scholarly journals Effects Of Nutrition Education And Counseling Intervention On Maternal Weight And Obstetric Outcomes Among Pregnant Women Of Gedeo Zone, SNNPR, Ethiopia, 2019, Cluster Randomized Control Trial

2021 ◽  
Author(s):  
Gizaw Sisay ◽  
Adane Tesfaye
Keyword(s):  
Pregnant Women ◽  
Nutrition Education ◽  
Randomized Control Trial ◽  
Intervention Group ◽  
Control Group ◽  
Maternal Weight ◽  
Counseling Intervention ◽  
Cluster Randomized Control Trial ◽  
Randomized Control ◽  
Cluster Randomized

Abstract BackgroundA good approach to improve maternal diet during pregnancy is nutrition education and counseling. However, due to the scarcity of intervention trials, especially in Ethiopia, the effect of nutrition education and counseling intervention on pregnancy outcomes is not well studied.ObjectiveTo assess the effect of nutrition education and counseling on maternal weight and the outcomes of pregnancy among pregnant women in public health care institutions of Gedeo Zone, Southern, Ethiopia.MethodsA cluster randomized control trial study design was undertaken. Simple random sampling followed by cluster sampling was used to reach eligible study participants. A total sample of 235 (115 intervention vs.120 control group) pregnant women who followed antenatal care service in public health facilities of Gedeo Zone were included in the study. Independent t-test was used to analyze the group difference for continuous variable and chi-square test for categorical variables. The post intervention values between two groups were compared using ANCOVA by adjusting to the baseline variables.ResultAfter nutrition education and counseling, pregnant women in the control group had less weight gain than in the intervention (65.03kg vs. 56.69kg, p = 0.001). The proportion of LBW neonate was 17.8% in the intervention group and 38.2% in the control group (p < 0.001). Multivariable logistic regression analysis showed that the risk of LBW in the control group was 2.43 more likely than in the intervention group (AOR = 2.43; 95% CI: (1.2, 4.92).ConclusionNutrition education and counseling delivered to pregnant women on the time of pregnancy could reduce maternal malnutrition and low birth weight. We can recommend that; the intervention is easy to implement in health facilities of Gedeo zone and would be implemented without delay to achieve sustainable development goals.The trial was retrospectively registered in Pan African Clinical Trial Registry (www.pactr.org) database with unique identification number for the registry is PACTR202101757871954.

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